Provider Demographics
NPI:1629298880
Name:CHOY, SAMUEL K (RPH)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:K
Last Name:CHOY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7120 WYOMING BLVD NE
Mailing Address - Street 2:7B
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4887
Mailing Address - Country:US
Mailing Address - Phone:505-346-0533
Mailing Address - Fax:505-346-0532
Practice Address - Street 1:7120 WYOMING NE
Practice Address - Street 2:SUITE 7B
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4887
Practice Address - Country:US
Practice Address - Phone:505-346-0533
Practice Address - Fax:505-346-0532
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM00004023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMRP00004023OtherPHARMACIST LICENSE